Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › FAIRFIELD › 12 MONTH SMILES LLC

12 MONTH SMILES LLC

NPI: 1033541073 · FAIRFIELD, CT 06825 · 1223G0001X

$498.20
Total Medicaid Paid
27
Total Claims
24
Beneficiaries
2
Codes Billed
2018-06
First Month
2018-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 27 $498.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 13 12 $280.70
D1208 14 12 $217.50